Smile Zone Dentistry, Port Jervis PC
NPI #1164861266 in Port Jervis, New York
Provider Information
- NPI Number
- 1164861266
- Entity Type
- Organization
- Organization Name
- Smile Zone Dentistry, Port Jervis PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 21, 2013
- Last Updated
- Jun 21, 2013
Practice Location
- Address
- 26 FOWLER ST
- City
- Port Jervis
- State
- New York
- ZIP Code
- 12771-2534
- Phone
- (845) 856-6721
Authorized Official
- Name
- SAMIR BAJAJ
- Title
- DIRECTOR
- Phone
- (201) 874-2243
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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